Reduction in Healthcare Cost Trend Sample Clauses

Reduction in Healthcare Cost Trend. The estimates being used today for the potential savings from clinical data sharing and enhanced clinical decision support at the point of care range from 7% to 30% of current total expenditures. While the PCS by itself doesn’t rise to meet the full definition for the fully interoperable environment envisioned today, it represents a major step in that direction. Consequently, it is hoped that Customer and its customers could see a real reduction in the cost increases endemic to the healthcare system today. The savings seen just from limited application of “gaps in care” interventions are reported [by Aetna’s ActiveHealth subsidiary, which charges between $0.80 and $1.20 PMPM] to be upwards of $6.00 PMPM; the potential for well-implemented PCS distributions could well exceed that financial return. The realized value of some of these value components will be difficult to accurately measure, but that that doesn’t diminish their value to Customer. To that end we should focus on quantifying the Reduction in Cost Trend results, since strong returns there will easily justify, by themselves, fair pricing for the PCS services over the term of this Schedule I and for the optional two (2) year renewal period. Both parties have agreed that [***]. While MEDecision [***]. Given that MEDecision is not attempting to lock Customer into long-term pricing that may put Customer at a competitive disadvantage in the future, both parties have agreed to language that allows for the reevaluation of the PCS Fee Structure should certain trends appear in the market for PCS-comparable technologies or if it becomes clear that the return on Customer’s costs are effectively nil or negative [***]. Finally, recognizing that Customer is putting a great deal of trust in MEDecision and MEDecision’s ability to provide Customer with its core clinical application, both parties have agreed to guarantee that Customer can continue to use the intellectual property embedded in the interfaces that MEDecision designs to exchange PCS data with third parties for both standard and non standard interfaces (for example Personal Health Management vendors, EMR vendors, Provider Portals, etc.). This covers the IP in the interface and not the IP used in the creation of MEDecision’s PCS transactions. The intent is to allow Customer to substitute MEDecision’s application with applications that can send and receive data to third parties in the same formats that MEDecision did; the developers of those applications ...
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Related to Reduction in Healthcare Cost Trend

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